May 6th Action Forum Registration Form
PURPOSE:
The livable Missoula action forum is an effort to confront climate change locally and move Missoula towards 100% clean energy as rapidly and equitably as possible.

We will build on the collective visions community members came up with in a couple of community dialogues for what we want our community to look like in 2035, the values that we want to guide us, and collective actions that can help us get there. At the action forum, participants from both dialogues will come back together, along with new folks who want to join, to workshop the action ideas we came up with, break into action teams, and plan next steps to start moving forward.

WHO SHOULD COME: We’re looking for residents of Missoula county who are interested in helping shape a vision for a path to 100% renewable energy and making sure that path is equitable and affordable, whether that’s through attending one event, sharing what you're already working on, or becoming a new leader in a longer-term organizing effort.

If you haven’t been part of community events, conversations, or planning processes related to renewable energy and addressing climate change, you are especially welcome! We’re hoping to bring together a diverse group of Missoulians who can speak to the opportunities and challenges for making an equitable transition possible and work towards meeting them.

WHEN: Monday, May 6th from 5:30-8:30

COST: FREE

Register by Thursday, 5/2 if you have any dietary restrictions or want to bring kids to the "kid activities" corner.

Note: Please plan to attend the entire event. And indicate below if you need accommodations,  childcare, etc.

If you have any questions or concerns, please contact Caitlin Piserchia at capiserchia@gmail.com.
Someone from our team will be in touch with you.

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Personal Information
Name (first and last) *
Preferred Pronouns
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Email *
Best Phone Number
Are you 18 years or older? (younger students welcome!)
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Emergency Contact Person
Name and relationship
Emergency Contact Phone Number
Food restrictions? *
Required
Do you need childcare? (If so, please indicate how many children you're bringing and their ages) *
Someone from our team will be in touch with you.
Any questions or other accommodations needed?
How did you hear about this event?
Anything else you'd like us to know?
Demographics (OPTIONAL)
This is purely for informational purposes to hold ourselves accountable to reaching out to Missoulians from a diverse range of backgrounds and see how we're doing in representing the range of identity groups in our community. That said, we'd appreciate you sharing whatever you're willing to share.
Do you currently feel economically secure?
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What is the highest level of education you've completed?
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Age?
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How do you identify your gender?
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Do you identify as religious?
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How do you identify your race/ethnicity?
Do you identify as a person with disabilities (visible or invisible)?
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What is your primary language?
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Do you identify as LGBTQIA+?
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